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Published on: March 24, 2023
Complications of Paediatric Cochlear Implantation in the Population of Uttarakhand
V P Singh1, Chetan Bansal1, Tanvi Kanwar1
1Department of ENT, Shri Mahant Indiresh Hospital, Shri Guru Ram Rai Institute of Medical Sciences, Dehradun, Uttarakhand India.
Insights
Cochlear implant surgery in Uttarakhand children aged 1-5 years showed a 13.33% complication rate. Early detection of issues like facial nerve paresis and implant rejection is crucial for patient outcomes.
Area of Science:
- Otolaryngology
- Pediatric Surgery
- Neurosurgery
Background:
- Cochlear implantation is a common procedure for pediatric hearing loss.
- Understanding complication rates is vital for optimizing surgical outcomes and patient safety.
Purpose of the Study:
- To analyze the types and incidence of complications in pediatric cochlear implant surgeries.
- To evaluate outcomes in the Uttarakhand population.
Main Methods:
- A retrospective study of 60 pediatric patients (age 1-5 years) who underwent cochlear implantation.
- Follow-up for 1 year post-surgery, with all procedures performed by a single surgical team.
Main Results:
- Overall complication rate was 13.33%.
- Minor complications (8.33%) included facial nerve paresis, chorda tympani injury, skin reactions, and perilymph gushing.
- Major complications (5%) involved implant rejection and flap necrosis.
Conclusions:
- Pediatric cochlear implantation in Uttarakhand has a manageable complication profile.
- Close monitoring and prompt management are essential to minimize patient morbidity and device failure.
Abstract:
Cochlear implants surgery is now routinely done at this center. Complications which have been experienced in cochlear implant surgery at our center are discussed, as a detailed knowledge about the complications and their early anticipation can save an expensive device and most importantly patients morbidity. To discuss the complications of the paediatric cochlear implantation in the population of Uttarakhand. The total of 60 patients were included in this study (age group 1-5 years) who had undergone the cochlear implantation surgery between Sept. 2015 and Sept. 2016. These patients were regularly monitored and followed up for 1 year. All the surgeries were performed by same team of surgeons. Rate of minor complications is 8.33% (reversible facial nerve paresis, injury to chorda tympani nerve, local skin reaction, perilymph gussher) and major complications is 5% (implant rejection and flap necrosis). The various complications should be closely monitored by the surgeon so that these can be avoided.
